13-001976MPI Agency For Health Care Administration vs. Hospice Of The Palm Coast, Inc., D/B/A Odyssey Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, May 30, 2013.

F"j' I ",>Jlt F ~ 1_"- f E -0

ik tdiC/\\ C A

STATE STATE OF OF FLORIDA FLORIDA AGE AGE;;':CY TY CLERK CLERK

AGENCY AGENCY FOR FOR HEALTH HEALTH CARE CARE ADMINISTRATION ADMINISTRATION 2014 MAY All:

2014 MAY 2 28 8 A II: 19 Iq

STATE STATE OF OF FLORIDA, FLORIDA, AGENCY AGENCY FOR FOR

HEALTH HEALTH CARE CARE ADMINISTRATION, ADMINISTRATION,

Petitioner, Petitioner,

VS. vs. C. C.I. I. NO.: NO.: 13- 000 13-0822-000 0822-

PROVIDER PROVIDER NO.: NO.: 150019800 150019800

HOSPICE HOSPICE OF OF THE THE PALM PALM COAST, COAST, INC. INC. LICENSE LICENSE NO.: NO.: 50370970 50370970

d/b/ a d/b/a ODYSSEY ODYSSEY HEALTHCARE, HEAL THCARE, NPI NPI NO.: NO.: 1912932948 1912932948

DOAH DOAH CASE CASE NO.: NO.: 13- 13-1976MPI 1976MPI

Respondent. Respondent. RENDITION RENDITION NO.: NO.: AHCA- AHCA- j 11 . Oq D'-f 19 - 7 9 S- -S-MDO MDO

FINAL FINAL ORDER ORDER

THE THE PARTIES PARTIES resolved resolved all all disputed disputed issues issues and and executed executed a a Settlement Settlement Agreement. Agreement. The The

parties parties are are directed directed to to comply comply with with the the terms terms of of the the attached attached Settlement Settlement Agreement. Agreement. Based Based on on the the

foregoing, foregoing, this this file file is is CLOSED. CLOSED.

DONE DONE AND AND ORDERED ORDERED thismay this ay of 2014, 2014, in in

Tallahassee, Tallahassee, Leon Leon County, County, Florida. Florida.

ELIZABETH DU K, SEC TARY

Agency for Health Care Administration

Page Page 1 1 of of 3 3

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS

ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY

FILING ONE COpy OF A NOTICE OF APPEAL WITH THE AGENCY

CLERK OF AHCA, AND A SECOND COpy ALONG WITH FILING FEE AS

PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE

APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS

HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW

PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE

FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE

FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE

REVIEWED.

Copies furnished to:

Shannon L. Drake, Esquire

Gentiva Health Services, Inc.

3350 Riverwood Parkway, Suite 1400

Atlanta, Georgia 30339

(U.S. Mail)

Agency for Health Care Administration

Office of the General Counsel, MS #3

Douglas J. Lomonico, Assistant General Counsel

Agency for Health Care Administration

Bureau of Finance and Accounting, MS #14

Agency for Health Care Administration

Bureau of Medicaid Program Integrity, MS#6

ATTN: Rick Zenuch, Bureau Chief

Health Quality Assurance

Page 2 of 3

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order was

furnished by United States Mail, interoffice mail, or email transmission to the above-referenced

- ,2014.

RICHARD J. SHOOP, Agency Clerk

Agency for Health Care Administration

2727 Mahan Drive, MS #3

Tallahassee, Florida 32308

Telephone No. (850)-412-3630

Fax No. (850)-921-0158

Page 3 of 3